NPI | 1932572658 |
---|---|
Entity Type | Organization |
Authorized Contact | REZA KESHAVARZI Owner 786-801-3883 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2015-11-03 |
Last Update Date | 2019-07-19 |